The Trump administration has put a freeze on many federal health agency communications with the public through at least the end of the month.
In a memo obtained by The Associated Press, acting Secretary of the US Department of Health and Human Services Dorothy Fink told agency staff leaders Tuesday that an “immediate pause” had been ordered on — among other things — regulations, guidance, announcements, press releases, social media posts and website posts until such communications had been approved by a political appointee.
The pause also applies to anything intended to be published in the Federal Register, where the executive branch communicates rules and regulations, and the Morbidity and Mortality Weekly Report, a Centers for Disease Control and Prevention scientific publication.
The pause is in effect through Feb. 1, the memo said. Agencies subject to the HHS directive include the CDC, the National Institutes of Health and the Food and Drug Administration — entities that fight epidemics, protect the nation’s food supply and search for cures to diseases.
HHS officials did not respond to requests for comment on the pause, which was first reported by The Washington Post. Four federal health officials speaking on condition of anonymity because they weren’t authorized to discuss the issue confirmed the communication pause to the AP.
A former HHS official said Wednesday that it’s not unusual for incoming administrations to pause agency communications for review. But typically, officials working on the president’s transition team have the process for issuing documents running smoothly by inauguration day.
“The executive branch is a hierarchy,” said Steven Grossman, who now consults for food and drug companies, in an email. “Whether stated publicly or not, every new administration wants important commitments and positions to wait until new teams are in place and some semblance of hierarchy restored.”
A pause is reasonable as a changing executive branch takes steps to become coordinated, said Dr. Ali Khan, a former CDC outbreak investigator who is now dean of the University of Nebraska’s public health college.
“The only concern would be is if this is a prelude to going back to a prior approach of silencing the agencies around a political narrative,” he added.
During his first term, President Donald Trump’s political appointees tried to gain control over the CDC’s MMWR journal, which had published information about the COVID-19 pandemic that conflicted with messaging from the White House.
Fink wrote in her memo that some exceptions would be made for communications affecting “critical health, safety, environmental, financial or nation security functions,” but that those would be subject to review. The FDA on Tuesday and Wednesday posted notices about warning letters sent to companies and a drug safety notice.
A consumer advocacy group said the communications pause could still threaten public safety.
Americans depend on timely information from the CDC, the FDA and other agencies to avoid foodborne illnesses and stay aware of other health issues, said Dr. Peter Lurie, president of the Center for Science in the Public Interest.
“When it comes to stopping outbreaks, every second counts,” Lurie said in a statement. “Confusion around the vaguely worded gag order is likely to lead to unnecessary delay in publishing urgent public alerts during active outbreaks.”
He was echoed by Dr. Jeffrey Klausner, a University of Southern California public health expert.
“Local health officials and doctors depend on the CDC to get disease updates, timely prevention, testing and treatment guidelines and information about outbreaks,” Klausner wrote in an email. “Shutting down public health communication stops a basic function of public health. Imagine if the government turned off fire sirens or other warning systems.”

WASHINGTON: President Donald Trump has halted arrivals of refugees already cleared to enter the United States, according to a memo seen Wednesday, as he quickly pursues a sweeping crackdown on migration.
Following an executive order signed Monday hours after Trump took office, “all previously scheduled travel of refugees to the United States is being canceled,” said a State Department email to groups working with new arrivals.
The memo asked the UN International Organization for Migration not to move refugees to transit centers and said that all processing on cases has also been suspended.
Refugees already resettled in the United States will continue to receive services as planned, it said.
Trump in each of his presidential campaigns has run on promises to crack down on undocumented immigration.
But the refugee move also targets a legal pathway for people fleeing wars, persecution or disasters.
In his executive order, he said he was suspending refugee admissions as of January 27 and ordered a report on how to change the program, in part by giving “greater involvement” to states and local jurisdictions.
It also revoked his predecessor Joe Biden’s decision to consider the impact of climate change in refugee admissions.
New Secretary of State Marco Rubio, the son of Cuban immigrants, said Wednesday that the State Department will “no longer undertake any activities that facilitate or encourage mass migration. “
“Our diplomatic relations with other countries, particularly in the Western Hemisphere, will prioritize securing America’s borders, stopping illegal and destabilizing migration and negotiating the repatriation of illegal immigrants,” Rubio said in a statement.
Biden had embraced the refugee program as a way to support people in need through legal means.
In the 2024 fiscal year, more than 100,000 refugees resettled in the United States, the most in three decades.
The Democratic Republic of Congo and Myanmar have been among the top sources of refugees in recent years.
Senator Jeanne Shaheen, the top Democrat on the Senate Foreign Relations Committee, voiced alarm at Trump’s moves and said that acceptance of refugees was “a core American value.”
“The US Refugee Admissions Program has a long history of bipartisan support and is a life-saving tool for the most vulnerable refugees, all while making Americans safer by promoting stability around the world,” she said.
The State Department memo said that Afghans who worked with the United States until the collapse of the Western-backed government in 2021 could still arrive through their separate resettlement program.
But Shaheen voiced concern that Afghans were also being left in limbo with flights canceled.